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Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT ,I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00066 c - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/23/2006 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 530 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG Project Description: Limited energy for voice & data. Job No. 901 ST146566 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA /TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST NETVERSANT CASCADES INC ONE SW COLUMBIA ST #300 9740 SW NIMBUS PORTLAND, OR 97258 BEAVERTON, OR 97008 Phone: 503- 293 -2745 Contact #: PRI 503- 646 -0533 FAX 503- 641 -6613 FEES Reg #: ELE 34- 589CLE LIC 150328 Description Date Amount SUP 2903LEA [ELPRMT] ELR Permit 2/23/2006 $75.00 [TAX] 8% State Surchar€ 2/23/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to f• • • : adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 thro • h OAR 952 -ea • .0. You may obtain copies of these rules or direct • estions to OUN at 503 - 246 -6699. Iss -d By: 1 up jag, �• , _% Permittee Signatur ; V.( f • — OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. •006(WED) 21:07 NETUERSRNT CRSCRDES INC P. 001 /002 1 l ectrica 1 Permit App'o� = IV ED FOR OFFICE USE ONLY SLpe¢IYCd Ci of Ti and Perms Na.: i d.. - , LlatriBv: ,,,or 13125 SW Null Blvd., TIgard, dR 977.73 ccB 2, 3 20t/h Plan Review Phone: 503,639,4171 Fax: 503.596.1960 a 10 Mlle/Wet Caller henna: Inspection Line: 503.639.4175 t,n Date Ready/9Y; Jun Fil lien Pain: rltr Internet: w+wu,ai.liLnrd,or.ue CITY OF TIGA 1 - Netifledimethod: .,/ , ,,. Sunplemenwl tnrnrin tlwt . ,•r'1� "r,t "'.1 : : I T 1 " ,, 1 ^:H, 1 :1 , •1! ! x : 1 ;: i ii 1 �s r I � .. } 11,.. .... ,,:' .. "1: . .,� ' '� V , ., N r . '• . .... M11 .:.R[7: .:, ...,n ; 4i. ..1.A.w l :'t, : � ".i' i t ✓; : ' :ii,. f!, ;,:yi • .)'i-�, ;.,,,.mow._... /. .� .1, ..� �. �..�. ... .. . � . .. . : .. .... .. :�����I.: n: � � � �' .. _ 'rY •:fL ..I..:1'r� .. ... ... ._. _ .. l� [I New construction Cif Addition /alteration/replacen'tent Please cheek ell dint apply; °Service aver 22$ amps. camm•1 ❑Ha:ardnua location © Demolition 12 Other: . _ a °Service over 320 amps- rating (28uildng over 10,000 sq, it , a;` +. 1.i'i - ., . '. ;'` rr rr . '.:, .' .f . 1 C l A . . ltl� Oi34.. cO 0.-1 . ".,:.; ;.- ;'1 :.. o il 4 or more new rcldentlaI ..; • ;s •' ': '. ...t�.. . . C 4r r ..,l "r '; 1':- I- turd 2- rutnP dwcIliu ! I- and 2- fancily dwelling Corruricreittl /industrial {_1 Accessory building °System over 600 volts nominal units In one structure • El 1] Multi-fondly 0 Muster builder 0 Other: persons ee rammed cures or Building over three stories era, 4 0 amps or mare �Occupnnt load over 99 pc �MUnufuctu c ',Iw.. r , ..,, •t'. ',: , "t. 1'1.1,,,,r- c' 1; "', . .' � •`'i ., , #lilt''• �, '.• } ...... � Ihllt; �TTCllY� <�;!�kl 'C>' " ?' '•:�: " >. � r.'ia ,;: DE plan • RV park Jab site address: °Health -care facility °Other Job no.: � 01• l4 �T �( P(p ��Z�P� Sw Q(Ferl submits,. dem or plans with any or the above, City /Stttte/ZIP: 1 r Z 'the above are not applicable to temporary construction service. w' .r 3 't,t "" a ii : 7 l 1 I 4,s� + ;'" 111 "itl ,:K'SC'Ci Dtlti 1 f 1 i ' I ..K;" r�alN. v 'tom G gq�sj' Stilt . Idg. /o _;.� pt. no,: , Project slime: firi� i4 45 1 n � - ua>aerintlnn j Our, I v.., ( T : _ otal - Cross street/directions to job site: s �. Id a did �� i New residential single -or multi- family dwelling unit. - includes attached garage. _ 1.000 an, ft. or less 145.15 4 Subdivision: Lot no.: FA. add'l 500 sq. it. or portion 1 33,40 1 Tax :nap /parcel no, Limited enemy, residential 75,00 Limbed energy. non - residential 75.00 ` • �Ir;.. t^+1 �r'R'" t glt l ti iM � �Yis'.T� 9,n alF+' l ay �r v . ^.r:,�; 'u•;. '! Lr l ,..,l. • 'i; a.� a yl ,« y r 1,.: a' ": 1 A :g.0,__ _ �.� l} OI W Ri' , l,1,1jj9:':, : 1 1 � I�.H;.. or a l�Wt.l,f� 1SU L'.1;1l IGt{�4c i. 1R' � "'.',t?- �:st:. 2�i�,J.� !'..1'.�... V:� - -. t7 ! !J� I: MI.I /J� Y�. l��h F•�, "r.�,.s�,:!ic. F.aGi1 1t1�InU1hS3tU1Fd r m dUillr • dwelling, service and /or feeder 90.90 2 I .1 . Ct . A Services or feeders Installation, aIteratinFt, and/or relocation • 200 amps or less 60.30 MI a s a f a s. u s d 201 "113"° 400 am 6 106,85 xJL k a: ?t�RO ult, � N.Fitr l' n ^) u f i �! q rr ,'ti ! t� 4,�,uf� _P _:.� ^;M�1� ,'..�lY, �... ��L�`, �!. r���s; �R�, l��:,, �'. I�. i��, C1s�li.. �iNi�Nr.:: "s�lx,i'; "r,��i:.,�! „�,iW. 401 amp arrant s to 600 e MI 160,60 2 Nance; 601 amps to 1,000 amps 240.60 2 Address Over 1,000 amp�orvoltb 454,(;5 2 Reconnect only MN 66.85 2 City /State/ZI P: Temporary services ur feeders Installation, alteration, and/or Phone: ( ) I pax: ( ) • ' relocation ft 200 amps or less 66,115 Owner lnstallntioo: T his installation Is being made on property that i own which is not ' 201 amps w 400 amps 100.30 intended tar sale, lease, rent, or exchange. according to ORS 4.7, 449, 670, and 701. 401 arttpd to 600 amps 133.75 Owner signature: Dale: Brunch circuits - new, alteration, or extension, per panel A , ,,,, l,eiµ�, y c ,' �.: ' 'w' 1!4 �'• , ! :s1” A. tl e a C d W ;rtes l�i� ' }��y�' 'ClsrrCl� :'' . �.. �'�t tip '4n�'��i"�` ' �r�� a'� ,, : :�.�� �1;�' �,�� �4 311st`,1� a r f fee, u u+ t ,. .R �jn, , N.� .�, .,, ... ; . � s car i r , x I :_. .��.. �`' s service or feeder eac) 6,65 2 13uslnc.s name: branch circuit 13. Fee for branch aireultit Contact name; w(rhuur service or feeder fee, 2 each branch circuit 46._5 Address: Each ode branch circuit 6.65 2 City /StatdZU Mlscellanamtr (parolee or (ceder not Included) Pump or irrigtltian circle 53,40 2 Phone: ( ) lux: ( ) Sl n ar outline lightin 53,40 2 E - mail: Signal elrcull(u) or limited. - •t l ,.n . , ,,,. • ' ,t tl . r ,,!• •,' •, , ' .1 :• energy and it.. 1'.. c r, !,•. : .' 3.° Jlr � i,. ��.r.; "�,;' :�G01!I -1 'C 0 2�; ta, `is!i'1� :d'�•' :'- .. ` :;i. ": cl.r. ..• �' :... p • alteration. or Business name: _ ' extension. Describe: 1r Pune 2 2 IV e H/eiS4`► - (iG, � ,.,/,r!v / ri�t�' Address; q iJ 0 S A) N I i' i Gf o 14/ft t- _e -• Each a act al Inspection over tlllewublc In any or tbc above Per Inspection 42.50 City /Stotc/ZiP: vet vet- f� ! Z. q v p g investigation per hour(1 llr min) 62.50 Phone: (913)Loct (, .-D5 53 Fox: (53 (P c f (^ 6 (p ( 3 industrial plant per hour 73.75 ,;-V:r: .;`;'.2 toMlt 'LC1'itiG1L'i!E :11 gat;, „�;;i^,l,i CCB Lie.: 1 SD 3 5 Electrical Lie -5 s - C _ Snow, Lic.: 332.41 Les sub... / 5 _,_ 0 b a Suprv. Electrician signature, required: I u '_.( Plan review (25% of permit ace) Print name; Q 0 Dale: z Z d Suite aurchurge (a% of permit feeltit. 0 . - ro•rAx., PERMIT FEE ' 0 Authorized siynilturc: This t=nrrntt uNpllcaltutl e rntret Ira permit It not nbtpinnd within 180 - - - days alter It has been accepted a4 complete Print name: Dale: ' fee soctllodoioay pct by TrhCounty Buildinit lnduslty Scrvicc Beard Number of Inrpnei Inn% per permit allowed. isutldldhtatretnietlii .c- rormivae.dee 13/01 44u.44IYTII =VC CIMIWpp CITY OF TIGARD 2 BUILDING DIVISION PERMIT #: 2.0°6 -- 00 0 60 to 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 AMA i �l+I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / () (p 6 CLASS OF WORK: SUBDIVISION: - LOT #: TYPE OF USE: o �� PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -Co- G ( Pour Time: Code # Inspection Description Confirm # Contact # Message Corte tionsll:omm nts /Ins r '_ • • PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C" ' ` Date: 3 ry -6 Phone #: (503) 718- 2LWi